MEDICARE: NATHANIEL DONALD BREAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC012081	PA

General Provider Information

NPI Number	:	1154287225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL DONALD BREAM

Provider Business Mailing Address
First Line	:	223 MULBERRY ST
Second Line	:
City	:	NEWPORT
State	:	PA
Zip	:	17074-1421
Country	:	US
Telephone Number	:	717-567-3158
Fax Number	:	717-204-7587

Provider Business Practice Location Address
First Line	:	223 MULBERRY ST
Second Line	:
City	:	NEWPORT
State	:	PA
Zip	:	17074-1421
Country	:	US
Telephone Number	:	717-567-3158
Fax Number	:	717-204-7587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/01/2026

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Directions to “ NATHANIEL DONALD BREAM ” Practice Location

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